Rolling out good nutritional care in the community across Dorset - Rosie Ralls

1. Rolling out good nutritional care
in the community across Dorset
Rosie Ralls, Project Manager
The Pan Dorset Malnutrition Programme

2. Nutritional Care Strategy, 2013

3. Aims 2014
• To train community based health and social care workers about malnutrition
and how to screen for it
• Implement the appropriate care pathways including advice and referrals
• Develop a means to share screening information between teams
• Monitor and improve the nutritional status of those at risk

4. Achievements
• Development of an online form, hosted by Dorset CountyCouncil
• Second pilot area: Christchurch (2016)
• Project Manager employed (2016)
• Rolling out the programme to the rest of Dorset (2016 -2018)
• Cost savings

5. 1st April to 7th December 2017
• Screened 1341 people
• 160 of which have received multiple screenings
• 34 of these have shown an improvement in their nutritional status
• 17 have worsened
• 109 have stayed the same
• 324 staff trained

6. Future Developments
• Move in to Poole and Bournemouth
• Achieve link to SystmOne
• Continue to support the work of the Health and Social care teams
• Continue to reduce the risk of malnutrition in the vulnerable of Dorset

7. References
National Institute for Health and Clinical Excellence (NICE). Nutrition support in adults: oral nutrition
support, enteral tube feeding and parenteral nutrition. Clinical Guideline 32. 2006
Guest, JF et al. Health economic impact of managing patients following a community-based
diagnosis of malnutrition in the UK. Clinical Nutrition 2011; 30(4), 422 – 429
Thank you